Pedicle Subtraction Osteotomy Versus Multiple Posterior Column Osteotomies in Severe and Rigid Neuromuscular Scoliosis

Spine
Senol BekmezMuharrem Yazici

Abstract

Retrospective analysis. The aim of this study is to compare the safety and efficacy of the apical pedicle subtraction osteotomy (PSO) technique with multiple posterior column osteotomies (PCOs) in nonambulatory patients with severe, rigid neuromuscular scoliosis. Neuromuscular scoliosis frequently causes intolerance to sitting due to pelvic obliquity, trunk decompensation, and associated back and rib impingement pain which diminish the patient's functional capacity. In the case of rigid curves, spinal osteotomy techniques are occasionally required for effective correction. We retrospectively reviewed our patients with severe and rigid neuromuscular scoliosis with associated pelvic obliquity who were treated with posterior instrumented fusion extending to pelvis with more than 1-year postoperative follow-up. We compared radiological and clinical results of PSO and multiple PCO techniques in severe rigid neuromuscular scoliosis with pelvic obliquity of more than 15° in traction radiograph under general anesthesia. Hospital records were also reviewed for operative time, intraoperative blood loss, amount of blood transfusion, duration of hospital stay, and complications. There were 12 patients in the PSO group and 10 patients in th...Continue Reading

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Citations

Jun 21, 2019·The Journal of Bone and Joint Surgery. American Volume·Jacob M Buchowski, Owoicho Adogwa
Feb 14, 2020·Spine Deformity·J M CaridiG H Thompson
Mar 14, 2020·Journal of Children's Orthopaedics·Jorge Mineiro, Muharrem Yazici
Aug 20, 2021·Journal of Pediatric Orthopedics·Cem CayliMuharrem Yazici

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